Clinical Ambiguity and Conflicts of Interest in Interventional Cardiology Decision Making

Published Online:https://doi.org/10.1287/msom.2021.0969

References

  • Abelson R, Creswell J (2012) Hospital chain inquiry cited unnecessary cardiac work. New York Times (August 7), https://www.nytimes.com/2012/08/07/business/hospital-chain-internal-reports-found-dubious-cardiac-work.html.Google Scholar
  • Adida E, Mamani H, Nassiri S (2017) Bundled payment vs. fee-for-service: Impact of payment scheme on performance. Management Sci. 63(5):1606–1624.LinkGoogle Scholar
  • Alizamir S, de Véricourt F, Sun P (2013) Diagnostic accuracy under congestion. Management Sci. 59(1):157–171.LinkGoogle Scholar
  • Anand KS, Paç MF, Veeraraghavan SK (2011) Quality-speed conundrum: Tradeoffs in customer-intensive services. Management Sci. 57(1):40–56.LinkGoogle Scholar
  • Arad A, Gayer G (2012) Imprecise data sets as a source of ambiguity: A model and experimental evidence. Management Sci. 58(1):188–202.LinkGoogle Scholar
  • Arrow KJ (1963) Uncertainty and the welfare economics of medical care. Amer. Econom. Rev. 53(5):941–973.Google Scholar
  • Ata B, Killaly BL, Olsen TL, Parker RP (2013) On hospice operations under medicare reimbursement policies. Management Sci. 59(5):1027–1044.LinkGoogle Scholar
  • Bastani H, Goh J, Bayati M (2016) Evidence of strategic behavior in Medicare claims reporting. Working paper, University of Pennsylvania, Philadelphia.Google Scholar
  • Biasco L, Pedersen F, Lønborg J, Holmvang L, Helqvist S, Saunamäki K, Kelbaek H, et al. (2015) Angiographic characteristics of intermediate stenosis of the left anterior descending artery for determination of lesion significance as identified by fractional flow reserve. Amer. J. Cardiology 115(11):1475–1480.CrossrefGoogle Scholar
  • Boston Scientific (2014) GuidePoint Simplifying Reimbursement: 2014 Procedural Reimbursement Guide (Boston Scientific).Google Scholar
  • Brewington K (2010) Whether a stent is needed can be tough call. Baltimore Sun (January 25), https://www.baltimoresun.com/health/bs-xpm-2010-01-25-bal-md-stents25jan25-story.html.Google Scholar
  • Burns LR, Pauly MV (2018) Transformation of the healthcare industry: Curb your enthusiasm? Milbank Quart. 96(1):57–109.CrossrefGoogle Scholar
  • Camilleri M, Cortese DA (2007) Managing conflict of interest in clinical practice. Mayo Clinic Proc. 82:607–614.CrossrefGoogle Scholar
  • Carroll AE (2018) Heart stents are useless for most stable patients. They’re still widely used. New York Times (February 12), https://www.nytimes.com/2018/02/12/upshot/heart-stents-are-useless-for-most-stable-patients-theyre-still-widely-used.html.Google Scholar
  • Chan PS, Patel MR, Klein LW, Krone RJ, Dehmer GJ, Kennedy K, Nallamothu BK, et al. (2011) Appropriateness of percutaneous coronary intervention. JAMA 306(1):53–61.CrossrefGoogle Scholar
  • Curley SP, Young MJ, Yates JF (1989) Characterizing physicians’ perceptions of ambiguity. Medical Decision Making 9(2):116–124.CrossrefGoogle Scholar
  • Dai T, Singh S (2020) Conspicuous by its absence: Diagnostic expert testing under uncertainty. Marketing Sci. 39(3):540–563.LinkGoogle Scholar
  • Dai T, Tayur S (2020) Healthcare operations management: A snapshot of emerging research. Manufacturing Service Oper. Management 22(5):869–887.LinkGoogle Scholar
  • Dai T, Akan M, Tayur S (2017) Imaging room and beyond: The underlying economics behind physicians’ test-ordering behavior in outpatient services. Manufacturing Service Oper. Management 19(1):99–113.LinkGoogle Scholar
  • De Bruyne B, Pijls NH, Kalesan B, Barbato E, Tonino PA, Piroth Z, Jagic N, et al. (2012) Fractional flow reserve guided PCI vs. medical therapy in stable coronary disease. New England J. Medicine 367(11):991–1001.CrossrefGoogle Scholar
  • Delana K, Savva N, Tezcan T (2021) Proactive customer service: Operational benefits and economic frictions. Manufacturing Service Oper. Management 23(1):70–87.LinkGoogle Scholar
  • den Boer AV, Zwart B (2014) Simultaneously learning and optimizing using controlled variance pricing. Management Sci. 60(3):770–783.LinkGoogle Scholar
  • Deo S, Singh S, Jha N, Arinaminpathy N, Dewan P (2020) Predicting the impact of patient and private provider behavior on diagnostic delay for pulmonary tuberculosis patients in India: A simulation modeling study. PLoS Medicine 17(5):e1003039.CrossrefGoogle Scholar
  • Desai NR, Bradley SM, Parzynski CS, Nallamothu BK, Chan PS, Spertus JA, Patel MR, et al. (2015) Appropriate use criteria for coronary revascularization and trends in utilization, patient selection, and appropriateness of percutaneous coronary intervention. JAMA 314(19):2045–2053.CrossrefGoogle Scholar
  • Diletti R, Van Mieghem NM, Valgimigli M, Karanasos A, Everaert BR, Daemen J, van Geuns R-J, et al. (2015) Rapid exchange ultra-thin microcatheter using fibre-optic sensing technology for measurement of intracoronary fractional flow reserve. EuroIntervention 11(4):428–432.CrossrefGoogle Scholar
  • Durbin E, Iyer G (2009) Corruptible advice. Amer. Econom. J. Microeconom. 1(2):220–242.CrossrefGoogle Scholar
  • Easley D, Kiefer NM (1988) Controlling a stochastic process with unknown parameters. Econometrica 56(5):1045–1064.CrossrefGoogle Scholar
  • Ellis RP, McGuire TG (1986) Provider behavior under prospective reimbursement: Cost sharing and supply. J. Health Econom. 5(2):129–151.CrossrefGoogle Scholar
  • Fornell D (2013) Despite potential impact, use remains low for fractional flow reserve (FFR). Diagnostic Interventional Cardiology https://www.dicardiology.com/article/despite-potential-impact-use-remains-low-fractional-flow-reserve-ffr.Google Scholar
  • Freeman M, Savva N, Scholtes S (2017) Gatekeepers at work: An empirical analysis of a maternity unit. Management Sci. 63(10):3147–3529.LinkGoogle Scholar
  • Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Blaha MJ, Dai S, et al. (2014) Heart disease and stroke statistics—2014 update: a report from the American Heart Association. Circulation 129(3):e28–e292.CrossrefGoogle Scholar
  • Godager G, Wiesen D (2013) Profit or patients? health benefit? Exploring the heterogeneity in physician altruism. J. Health Econom. 32(6):1105–1116.CrossrefGoogle Scholar
  • Goh J (2018) Competing interests in healthcare. Dai T, Tayur S, eds. Handbook of Healthcare Analytics: Theoretical Minimum for Conducting 21st Century Research on Healthcare Operations (John Wiley & Sons, New York), 51–77.CrossrefGoogle Scholar
  • Han PK, Reeve BB, Moser RP, Klein WMP (2009) Aversion to ambiguity regarding medical tests and treatments: Measurement, prevalence, and relationship to sociodemographic factors. J. Health Comm. 14(6):556–572.CrossrefGoogle Scholar
  • Harris G (2010) Doctor faces suits over cardiac stents. New York Times (December 6), https://www.nytimes.com/2010/12/06/health/06stent.html.Google Scholar
  • Harrison JM, Keskin NB, Zeevi A (2012) Bayesian dynamic pricing policies: Learning and earning under a binary prior distribution. Management Sci. 58(3):570–586.LinkGoogle Scholar
  • Huang X, Rosenthal MB (2015) Overuse of cardiovascular services: Evidence, causes, and opportunities for reform. Circulation 132(3):205–214.CrossrefGoogle Scholar
  • Huang T, Allon G, Bassamboo A (2013) Bounded rationality in service systems. Manufacturing Service Oper. Management 15(2):263–279.LinkGoogle Scholar
  • Johnson NP, Toth GG, Lai D, Zhu H, Aar G, Agostoni P, Appelman Y, et al. (2014) Prognostic value of fractional flow reserve: Linking physiologic severity to clinical outcomes. J. Amer. College Cardiology 64(16):1641–1654.CrossrefGoogle Scholar
  • Keeley EC, Boura JA, Grines CL (2003) Primary angioplasty vs. intravenous thrombolytic therapy for acute myocardial infarction: A quantitative review of 23 randomised trials. Lancet 361(9351):13–20.CrossrefGoogle Scholar
  • Klein LW (2013) How do interventional cardiologists make decisions? Implications for practice and reimbursement. J. Amer. College Cardiology Cardiovascular Interventions 6(9):989–991.CrossrefGoogle Scholar
  • Kim YI, Ayvaci M, Raghunathan S, Ayer T (2019) When IT creates legal vulnerability: Not just overutilization but underprovisioning of healthcare could be a consequence. Working paper.Google Scholar
  • Kolata G (2019) Surgery for blocked arteries is often unwarranted, researchers find. New York Times (November 16), https://www.nytimes.com/2019/11/16/health/heart-disease-stents-bypass.html.Google Scholar
  • Léger PT (2008) Physician payment mechanisms. Lu M, Jonsson E, eds. Financing Healthcare: New Ideas for a Changing Society (Wiley-VCH Press, Weinheim, Germany), 149–176.Google Scholar
  • Levine RA (2009) Fiscal responsibility and healthcare reform. New England J. Medicine 361(11):e16(1–3).CrossrefGoogle Scholar
  • Lotfi A, Jeremias A, Fearon WF, Feldman MD, Mehran R, Messenger JC, Grines CL, et al. (2014) Expert consensus statement on the use of fractional flow reserve, intravascular ultrasound, and optical coherence tomography. Catheter Cardiovascular Interventions 83(4):509–518.CrossrefGoogle Scholar
  • Manski CF (2010) Vaccination with partial knowledge of external effectiveness. Proc. Natl. Acad. Sci. USA 107(9):3953–3960.CrossrefGoogle Scholar
  • McCardle KF (1985) Information acquisition and the adoption of new technology. Management Sci. 31(11):1372–1389.LinkGoogle Scholar
  • Mehta SR, Cannon CP, Fox KA, Wallentin L, Boden WE, Spacek R, Widimsky P, et al. (2005) Routine vs selective invasive strategies in patients with acute coronary syndromes: A collaborative meta-analysis of randomized trials. JAMA 293(23):2908–2917.CrossrefGoogle Scholar
  • Paç MF, Veeraraghavan S (2015) False diagnosis and overtreatment in services. Working paper.Google Scholar
  • Patel MR, Dehmer GJ, Hirshfeld JW, Smith PK, Spertus JA (2009) ACCF/SCAI/STS/AATS/AHA/ASNC 2009 appropriateness criteria for coronary revascularization. J. Amer. College Cardiology 53(6):530–553.CrossrefGoogle Scholar
  • Patel MR, Dehmer GJ, Hirshfeld JW, Smith PK, Spertus JA (2012) ACCF/SCAI/STS/AATS/AHA/ASNC/HFSA/SCCT 2012 appropriate use criteria for coronary revascularization focused update. J. Amer. College Cardiology 59(9):857–881.CrossrefGoogle Scholar
  • Petraco R, Sen S, Nijjer S, Echavarria-Pinto M, Escaned J, Francis D, Bchir M, Davies J (2013) Fractional flow reserve-guided revascularization. J. Amer. College Cardiology Cardiovascular Interventions 6(3):222–225.CrossrefGoogle Scholar
  • Pijls N, Gelder B, der Voort P, Peels K, Bracke F, Bonnier H, Gamal M (1995) Fractional flow reserve: A useful index to evaluate the influence of an epicardial coronary stenosis on myocardial blood flow. Circulation 92(11):3183–3193.CrossrefGoogle Scholar
  • Portnoy DB, Han PKJ, Ferrer RA, Klein WMP, Clauser SB (2013) Physicians’ attitudes about communicating and managing scientific uncertainty differ by perceived ambiguity aversion of their patients. Health Expectations 16(4):362–372.CrossrefGoogle Scholar
  • Pothineni NV, Shah NN, Rochlani Y, Nairooz R, Raina S, Leesar MA, Uretsky BF, et al. (2016) US trends in inpatient utilization of fractional flow reserve and percutaneous coronary intervention. J. Amer. College Cardiology 67(6):732–733.CrossrefGoogle Scholar
  • Rothschild M (1974) A two-armed bandit theory of market pricing. J. Econom. Theory 9(2):185–202.CrossrefGoogle Scholar
  • Rust J (1987) Optimal replacement of GMC bus engines: An empirical model of Harold Zurcher. Econometrica 55(5):999–1033.CrossrefGoogle Scholar
  • Saghafian S, Hopp WJ, Iravani SMR, Cheng Y, Diermeier D (2018) Workload management in hierarchical knowledge-based service systems. Management Sci. 64(11):5180–5197.LinkGoogle Scholar
  • Savva N, Tezcan T, Yildiz O (2019) Can yardstick competition reduce waiting times? Management Sci. 65(7):3196–3215.LinkGoogle Scholar
  • Shumsky RA, Pinker EJ (2003) Gatekeepers and referrals in services. Management Sci. 49(7):839–856.LinkGoogle Scholar
  • Society for Cardiovascular Angiography and Interventions (SCAI) (2016) SCAI quality improvement toolkit (QIT). Accessed October 31, 2018, http://www.scai.org/QIT/Default.aspx.Google Scholar
  • Steinbrook R (2009) Online disclosure of physician–industry relationships. New England J. Medicine 360(4):325–327.CrossrefGoogle Scholar
  • Su X (2008) Bounded rationality in newsvendor models. Manufacturing Service Oper. Management 10(4):566–589.LinkGoogle Scholar
  • Tarricone R, Marchetti M, Lamotte M, Annemans L, de Jong P (2004) What reimbursement for coronary revascularization with drug-eluting stents? Eur. J. Health Econom. 5(4):309–316.CrossrefGoogle Scholar
  • Taylor CA, Fonte TA, Min JK (2013) Computational fluid dynamics applied to cardiac computed tomography for noninvasive quantification of fractional flow reserve: Scientific basis. J. Amer. College Cardiology 61(22):2233–2241.CrossrefGoogle Scholar
  • Tonino PA, De Bruyne B, Pijls NH, Siebert U, Ikeno F, Van’t Veer M, Klauss V, et al. (2009) Fractional flow reserve vs. angiography for guiding percutaneous coronary intervention. New England J. Medicine 360(3):213–224.CrossrefGoogle Scholar
  • Topol EJ (2008) Textbook of Interventional Cardiology, 5th ed. (Elsevier Health Sciences, Philadelphia).Google Scholar
  • Topol EJ, Nissen SE (1995) Our preoccupation with coronary luminology: The dissociation between clinical and angiographic findings in ischemic heart disease. Circulation 92(8):2333–2342.CrossrefGoogle Scholar
  • Toth GG, Toth B, Johnson NP, De Vroey F, Di Serafino L, Pyxaras S, Rusinaru D, et al. (2014) Revascularization decisions in patients with stable angina and intermediate lesions: Results of the international survey on interventional strategy. Circulation Cardiovascular Interventions 7(6):751–759.CrossrefGoogle Scholar
  • Wang X, Debo LG, Scheller-Wolf A, Smith SF (2010) Design and analysis of diagnostic service centers. Management Sci. 56(11):1873–1890.LinkGoogle Scholar
  • Weinfurt KP, Seils DM, Tzeng JP, Lin L, Schulman KA, Califf RM (2008) Consistency of financial interest disclosures in the biomedical literature: The case of coronary stents. PLoS One 3(5):e2128.CrossrefGoogle Scholar
  • Weintraub WS, Spertus JA, Kolm P, Maron DJ, Zhang Z, Jurkovitz C, Zhang W, et al. (2008) Effect of PCI on quality of life in patients with stable coronary disease. New England J. Medicine 359(7):677–687.CrossrefGoogle Scholar
  • Wohns D (2016) The case for more FFR utilization in the cardiac cath laboratory. Cardiovascular Business (May 27), https://www.cardiovascularbusiness.com/topics/coronary-intervention-surgery/case-more-ffr-utilization-cardiac-cath-lab.Google Scholar
INFORMS site uses cookies to store information on your computer. Some are essential to make our site work; Others help us improve the user experience. By using this site, you consent to the placement of these cookies. Please read our Privacy Statement to learn more.